Daniel Fast: Toxicity and Symptom Screening

I hope you had a chance to watch the simulcast for the Daniel Plan. I got their book, and I found this questionnaire flipping through it. I figured I wasn’t in that bad of shape… Um… wrong. I scored a 106. If you scroll down to the bottom, you can see just how bad that is. I’m doing the Daniel Plan detox for 10 days to see just how much that score can change. They say that dramatic results can be seen that quickly. I guess we’ll find out. I included the questionnaire here, so you can see where you land if you don’t own the book. It was quite the eye-opener.

This questionnaire identifies symptoms that help to identify the underlying causes of illness and helps you track your progress over time. Rate each of the following symptoms based on your health over the past 30 days. If you are filling out this questionnaire after the first two days of detox, record your symptoms for the last 48 hours ONLY.

 Point Scale:

0 = Never or almost never have the symptom

1 = occasionally have it, effect is not severe

2 = occasionally have it, effect is severe

3 = Frequently have it, effect is not severe

4 = Frequently have it, effect is severe

Digestive Tract

____ Nausea or vomiting

____ Diarrhea

____ Constipation

____ Bloated feeling

____ Belching, or passing gas

____ Heartburn

____ Intestinal/stomach pain

total ________


____ Itchy ears

____ Earaches, ear infections

____ Drainage from ear

____ Ringing in ears, hearing loss

total ________


____ Mood swings

____ Anxiety, fear, or nervousness

____ Anger, irritability, or aggressiveness

____ Depression

total ________


____ Fatigue, sluggishness

____ Apathy, lethargy

____ Hyperactivity

____ Restlessness

total ________


____ Watery or itchy eyes

____ Swollen, reddened, or sticky eyelids

____ Bags or dark circles under eyes

____ Blurred or tunnel vision (does not include near- or far-sightedness)

total ________


____ Headaches

____ Faintness

____ Dizziness

____ Insomnia

total ________


____ Irregular or skipped heartbeat

____ Rapid or pounding heartbeat

____ Chest pain

total ________


____ Pain or aches in joints

____ Arthritis

____ Stiffness or limitation of movement

____ Pain or aching in muscles

____ Feeling of weakness or tiredness

total ________


____ Chest congestion

____ Asthma, bronchitis

____ Shortness of breath

____ Difficult breathing

total ________


____ Poor memory

____ Confusion, poor comprehension

____ Poor concentration

____ Poor physical coordination

____ Difficulty in making decisions

____ Stuttering or stammering

____ Slurred speech

____ Learning disabilities

total ________


____ Chronic coughing

____ Gagging, frequent need to clear throat

____ Sore throat, hoarseness, loss of voice

____ Swollen or discolored tongue, gum, lips

____ Canker sores

total ________


____ Stuffy nose

____ Sinus problems

____ Hay fever

____ Sneezing attacks

____ Excessive mucus formation

total ________


____ Acne

____ Hives, rashes, or dry skin

____ Hair loss

____ Flushing or hot flushes

____ Excessive sweating

total ________


____ Binge eating/drinking

____ Craving certain foods

____ Excessive weight

____ Compulsive eating

____ Water retention

____ Underweight

total ________


____ Frequent illness

____ Frequent or urgent urination

____ Genital itch or discharge

total ________

Grand Total ___________

Key to Questionnaire 

1. Add individual scores and total each group.

2. Add each group score for a grand total.

 optimal is less than 10

 mild toxicity 10−50

 moderate toxicity 50−100

 severe toxicity over 100

Feel free to include your score (if you’re willing) in the comments section and take the screening again after 10 then 40 days.


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